I'll weigh in with 3 decades of (some) knowledge here, having studied and sold these things once upon a time. First of all, the insurance and the actual performance/reliability are totally separate, though both are typically higher as the price rises.
Above a certain price point, it became fashionable to offer insurance as described by Rob below, but this was for marketing purposes, and, like all insurance, is based on a statistical gamble. I.e., a few cases will arise where someone's equipment behind a surge suppressor (no matter how good) gets damaged, and the suppressor company or the insurance company involved can statistically afford to pay those in the overall income/expenses picture.
Trevor's tech comments are completely correct. There is no natural time/usage-based wear-out of any of the components, but they can wear more if the stresses (surges, etc.) are more frequent or more intense, and many models may indeed need to be replaced after a lightning strike nearby or a nasty surge. Some of the better models try to self-identify (and alert you to) failure/end-of-life.
Now, back to the original power bar question. As for the actual components, virtually all power bars up to about $50-70 use nothing but a pile of MOV's (metal oxide varistors), which look just like simple thin-blob capacitors. The price of the power bar determines how many MOV's are used and how much surge each MOV can dissipate (hence a joules rating expressing how much energy can be dissipated in a very short time), and the price also determines whether only the hot-to-neutral voltage is protected or also the hot-to-ground voltage.
MOV's are rather crude devices that usually "clamp" above 300V (120V AC peaks around 170V), so they are quite unsuitable for low-voltage surges of longer duration, but they are excellent for extremely short high-voltage surges, especially since they (MOV's) have an extremely quick response time. Longer high-voltage surges will of course fry the MOV's.
Higher-priced devices, beyond the typical power bars, use all kinds of additional components beyond MOV's, and thus can have much better characteristics all-around.